A Brighter Future - Children's Pavilion: Building Better Mental Health Care for Children

Children’s Pavilion: Building Better Mental Health Care for Children

Children’s Hospital of The King’s Daughters 601 Children’s Lane, Norfolk, VA 23507 (757) 668-7043

President/CEO Amy Sampson

OUR BOARDS OF DIRECTORS (As of May 2024)

Children’s Health System Akhil Jain, Chair Julie Childress Beck

John R. Lawson, II

Kieran Poulos

Martha Colen

Nicole Legum

Amy Sampson

R. Justin Fulton

Miles Leon

Brian K. Skinner

Kim Georges

Katrina Lesher, MD

Elly Bradshaw Smith

Owen Griffin

Kevin Murphy

Carl St. Remy, MD

Katherine Knaus

Scott Nottingham, MD

Edward D. Whitmore

Children’s Health Foundation Lawrence A. Bernert III, Chair Dan Boyle

Doug Hillebrandt

Matthew Nusbaum

Scott Carr

Trey Huelsberg

Karen P. Priest

Mark Compton

Kelly Johnson

Taylor Priest

Leslie Doyle

Michael R. Matacunas

Amy Sampson

Kim McMillan

The King’s Daughters Nicole Legum, President Robin Broadnax

Margaret Kelly

Sunny Sonner

Beth Bryant

Carrie Lauck

Renee S. Walker

Leslie Crocker

Amy Moynihan

Carrie Williams

Laura Fulton

Taylor Priest

Lighting the Way Campaign Cabinet John Lawson, II, Chair Jim Squires, Chair Emeritus Buffy Barefoot

Miles Leon

Karen Priest

Frank Batten, Jr.

Frances Luter

Brian Skinner

David J. Benjack

Joe McSweeney

Elly Bradshaw Smith

Edward “Buzz” Heidt, Jr.

J.D. Myers

Katie Van Buren

Diane Kiger

Chris Neikirk

Susan Wynne

Editorial Team EXECUTIVE EDITOR

Ridgely Ingersoll

MANAGING EDITOR

Heather Kent

EDITOR

Brandi Potts

MEDICAL EDITOR GRAPHIC DESIGNER

Dr. Christopher Foley Eric Cardenas

© 2024 Children’s Health System Inc. To be removed from this mailing list, email Gifts@CHKD.org or call (757) 668-7070.

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Contents This publication offers a glimpse inside CHKD’s mental health initiative and our ongoing efforts to develop comprehensive mental health services for our community’s children and families.

Building Better Mental Health Care........................ 3 Starting Points................................................................ 4 Outpatient Mental Health Services......................... 5 Inpatient Care and Partial Hospitalization........... 6

Children’s Pavilion, CHKD’s mental health hospital and outpatient center, is home to several engaging works of art, each designed to evoke a sense of calm and beauty – and to inspire all who enter. Just outside the main entrance to the light-filled lobby and atrium sits Ori, a sculpture specially made for this location by David Rodriguez Caballero. Read more about the building’s art on page 17, including One Bright Pearl, featured on the cover.

Research and Academic Training............................. 7

Our Community Lights the Way............................... 19

Inside Children’s Pavilion: A Healing Environment............................................... 8

A History of Meeting the Greatest Needs....................................................... 24

Art that Elevates the Human Spirit.......................17

Children in photos throughout this publication are not actual patients.

Children’s Pavilion, the centerpiece of CHKD’s mental health initiative, stands 14 stories high on our Norfolk campus and provides inpatient, outpatient, and partial hospitalization care.

Building Better Mental Health Care As Virginia’s only freestanding, full-service children’s hospital and our region’s trusted leader in pediatric care, CHKD has evolved over the decades to meet the changing needs of those we serve. After learning of our community’s critical need for pediatric mental health services, CHKD’s board of directors made a transformational decision: Our commitment to provide the care our children need must include services to address their mental health.

Since then, we have embarked on a journey to build a comprehensive mental health program from scratch – an enormous undertaking. While we still have a great deal of work before us, we have created the essential framework of care our children need with the goal of providing that care in the least restrictive environment possible.

Our commitment to fully develop each component of that framework, outlined below, remains unwavering.

Primary Care All care begins in the medical home with each child’s pediatrician.

Emergency Care Providing urgent mental health evaluation and care in a safe environment.

Outpatient Services Building skills and reducing symptoms through assessment, individual and group therapy, and psychiatric care.

MedicalPsychiatric Care Delivering inpatient medical care that also addresses mental health needs in CHKD’s main hospital.

Fellowship Training Training the next generation of child psychologists and child and adolescent psychiatrists.

Intensive Outpatient Program After-school program for teens with needs greater than weekly therapy sessions can address.

Inpatient Care Acute care in Children’s Pavilion for those at imminent risk of harm or those experiencing severe dysfunction.

Academic Research Studying the quality and outcomes of the mental health care we offer.

Partial Hospitalization Program Intensive day treatment for patients with significant needs who do not require inpatient care.

Community Outreach Education for parents and professionals to increase understanding, recognition, and prevention of mental health challenges.

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Every day, children in acute need of mental health care arrive in our emergency department, where we have created a dedicated space to meet their unique needs.

Starting Points For most children, mental health care begins in the office of their primary care pediatrician or in CHKD’s main hospital.

Primary Care Pediatrics The primary care pediatricians of CHKD Medical Group and others are on the front lines of the pediatric mental health crisis. As trusted resources for our region’s parents, they’re the first providers that families turn to for help. In 2023, 27,453 appointments with CHKD Medical Group pediatricians were solely for mental health concerns.

Emergency Department Patients with mental health concerns who arrive in the emergency department have a six-bed space designed to meet their unique needs. Built with safety and privacy in mind, the area is staffed by a child and adolescent psychiatrist, nurses, mental health coaches, and mental health technicians who work alongside the emergency medicine providers. In 2023, children made 2,895 visits to CHKD’s emergency department for mental health concerns, a 200% increase since 2018.

Medical-Psychiatric Unit This seven-bed inpatient unit is designed to provide a safe environment for patients whose physical conditions need to be stabilized while their mental health needs are being addressed. In 2023, there were 511 admissions to this unit.

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Outpatient Mental Health Services Outpatient services are designed to manage symptoms and promote recovery in the least restrictive setting, with a goal of preventing the need for crisis care.

Outpatient services are provided at Children’s Pavilion and CHKD’s Health Center, South Campus, in Norfolk, as well as CHKD Health Center at Tech Center in Newport News, CHKD Health Center at Landstown in Virginia Beach, and via telehealth.

Mental health providers offer real-time feedback during parent-child interaction therapy, or PCIT, through play sessions in private rooms.

Clinical Needs Assessment

Psychological Testing

Mental health clinicians assess the specific concerns of each child and their family to determine urgency of needs and provide referral to the most appropriate level of care for each child’s specific situation.

Our pediatric and clinical psychologists provide psychological diagnostic assessment and testing to answer specific questions regarding diagnosis, to clarify strengths and weaknesses, and to determine pre- and post-intervention needs. Our psychologists pay special attention to genetic, medical, developmental, educational, social, and family factors to assess and provide the best treatment plan for each patient.

Outpatient Therapy CHKD’s mental health team provides individual and group therapy throughout the region. Because there is an extremely long wait list for individual therapy, children who do not require urgent intervention are encouraged to enter group therapy to begin the process of building skills and reducing symptoms. Once group therapy is complete, patients who need additional care may be offered other services. Children attended 23,071 outpatient therapy appointments in 2023.

Psychiatric Care Board-certified child and adolescent psychiatrists and psychiatric mental health practitioners at CHKD offer psychiatric evaluations and treatment planning, including medication management and psychotherapy.

Our psychiatrists, psychologists, and nurse practitioners use biological, psychological, and social factors to deliver care that is evidence-based, patient-centered, and familyfocused. In 2023, children made 22,951 outpatient visits to our department of psychiatry and psychology.

Intensive Outpatient Program CHKD’s intensive outpatient program is a structured after-school program for teens whose mental health condition or behavioral needs are beyond what can be addressed in weekly outpatient therapy sessions.

The goal of the program is to improve quality of life and reduce symptoms by providing patients with tools to help manage and regulate their emotions.

The program includes individual and group therapy, skill building, family engagement, and medication support as appropriate. Upon successful completion of the program, patients will transition back to outpatient care with new skills and an enhanced understanding of how to take charge of their emotions. Children made 2,081 visits to this program in 2023.

Children’s Pavilion 5

Children’s Pavilion provides a welcoming atmosphere and treatment environment for children elementary age through young adults, with coordinated care based on each patient’s specific needs.

Inpatient Care and Partial Hospitalization Acute inpatient and partial hospitalization programs at Children’s Pavilion provide care in a safe, structured setting for children who need more continuous support to reach stability.

Acute Inpatient Program

Partial Hospitalization Program

Our acute inpatient psychiatric program is for children and adolescents experiencing mental health emergencies, including imminent risk of harm to self or others, or severe disruption of the functions of daily living. This highly resourced program provides the greatest level of structure and safety for patients using evidence-based and proactive treatment approaches.

Patient care teams work collaboratively with families to develop and implement an ongoing individualized plan for success. Acute inpatient treatment is relatively brief. Length of stay varies by patient, averaging several days. As part of discharge planning, patients will often transition to step-down services that will support their continued progress toward better health. There were 777 admissions to Children’s Pavilion in 2023.

The partial hospitalization program provides intensive day treatment as a step-down from acute inpatient care or a step-up from outpatient services for children and adolescents who have high but not imminent safety concerns or a significant disruption to emotional, behavioral, or social functioning. Patients attend this program each weekday during school hours in a structured, therapeutic environment that offers individual, group, and family therapies as well as psychiatric management.

Families are also provided support from program clinicians to work through challenges that may exist in the home environment. Discharge planning includes coordination of outpatient services to support each child’s continued progress toward goals and improved health. Children made 1,062 visits to this program in 2023.

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Research and Academic Training As we work to meet the current need for quality mental health care for the children of our region and beyond, we must also plan and prepare for the future. At CHKD, we’ve established programs to train the mental health professionals of tomorrow, and we place a strong focus on research to identify the most effective treatments and interventions.

CHKD’s Mental Health Academic Research Center Through funding from the Children’s Health Foundation at CHKD and support from the EVMS Department of Pediatrics based at CHKD, our mental health team has established the CHKD Mental Health Academic Research Center. This program is dedicated to studying the quality and outcomes of the mental health care we offer, promoting prevention and early childhood mental health, and implementing state-of-the-art research in collaboration with other national experts in pediatric mental health. The center is contributing to health, healing, and hope for all children with an intentional focus on ensuring access to care and eliminating disparities. This research will ensure our patients receive rigorously evaluated, evidence-based care. And, through dissemination of our findings, we will contribute to defining best practices and ensure that CHKD remains a leader in children’s mental health care.

Child and Adolescent Psychiatry Fellowship With approval from the Accreditation Council for Graduate Medical Education, CHKD established a child and adolescent psychiatry fellowship. This fellowship is training the next generation of child and adolescent psychiatrists to promote the mental health of all children through a full continuum of clinical care. The two-year program, developed with a focus on meeting the needs of today’s youth and attention to population health, family-centered care, and the integration of physical and mental health care, accepts two psychiatrists each year.

Child Psychology Fellowships CHKD also offers two psychology fellowships for postdoctoral psychologists. Our pediatric psychology fellows develop the clinical skills necessary to provide care for diverse pediatric populations by working within multidisciplinary teams in a variety of medical specialties including inpatient pediatric rehabilitation, pain and palliative care, gastroenterology, neurology, hematology/oncology, intensive care, and trauma. The CHKD Child Advocacy Center offers a separate fellowship in clinical psychology with a goal of preparing fellows for the professional practice of psychology with a specialty in childhood trauma. Training includes assessment, consultation, and therapeutic interventions, with an emphasis on using evidence-based practices.

The conference center on the second floor of Children’s Pavilion provides meeting space for professional and community education and collaboration.

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Atrium and Lobby

Inside Children’s Pavilion: A Healing Environment Children’s Pavilion provides a beautiful environment for healing, and was a 2023 winner of the International Interior Design Association’s Award for Healthcare. Every facet of Children’s Pavilion has been tailored to respect the needs, privacy, and dignity of our patients as they undertake very important therapeutic work. Our inpatient and outpatient spaces offer calm and relaxation, as well as opportunities for creative exploration, learning, and development.

Atrium and Lobby

Rooftop Recreation Center

Healing begins the moment our patients and families enter the doors of Children’s Pavilion. The first floor is not only home to a full-service café, but it is also the entry point for the important work that takes place on our inpatient floors, which are accessed through a discreet elevator entrance off the atrium lobby. To keep our hospitalized patients safe at all times, families visiting the inpatient floors pass through a safety screening area as they enter. The first floor indoor and outdoor spaces introduce visitors to CHKD’s use of art to enhance our environment of healing. For more information about the art in Children’s Pavilion, like the glass sculpture by Ann Gardner shown above, see page 17.

Children need time to play, and regular exercise is proven to reduce stress, elevate mood, and contribute to a child’s overall sense of well-being. The Pavilion’s top floor features our rooftop recreation area, which offers fresh air, sunlight, and a chance for children to play safely outside, as well as expansive views of downtown Norfolk and the Elizabeth River. Here, therapy occurs while playing basketball on our outdoor court, dribbling a soccer ball on the grassy turf area, or enjoying a game of four square. Patients can also play giant puzzle games and benefit from horticulture therapy using rolling planters.

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Rooftop Recreation Center

Rooftop Recreation Center Children’s Pavilion 9

Indoor Gym

Recording Studio 10 Children’s Hospital of The King’s Daughters

Art Therapy Room

Indoor Gym Exercise and recreational therapies are provided in our two-story indoor recreation space, which includes a half-court basketball area, exercise studio, and space to accommodate many types of activities such as mind-body practices like yoga.

Music Therapy Room and Recording Studio The ability to appreciate music, interact with it, and even to perform are part of the therapeutic experience. Music therapy helps our patients address physical, emotional, cognitive, and social needs, providing avenues for communication that can be helpful to those who find it difficult to express themselves. This space features a soundproof individual practice and recording studio, allowing our patients to capture their expressions of music, lyrics, poetry, or the spoken word.

Art Therapy Room In our art therapy room, patients of all ages express themselves through visual arts and the creative process. Art helps children and adolescents communicate, explore their emotions, improve self-esteem, relieve stress, and reduce symptoms of anxiety and depression. Display cases line the hallway so that patient artwork can be appreciated by others.

A special art installation is found in this room. As a companion to the three rotating colorful discs in the main lobby, our inpatients will experience the soothing creativity of Venezuelan artist Manuel Mérida’s green Cercle, which rotates on a motor to produce infinite, unpredictable moments of beauty as the green paint pigment cascades in perpetual motion.

Children’s Pavilion 11

Family Lounge

Family Lounge This space provides parents with a place of respite while their children are busy in treatment. With a refreshment center and comfortable seating, parents can take a break, catch up on phone calls or emails, and commune with each other while staying close to their children during their time in the hospital.

Sensory Room Multisensory environments benefit patients by providing a variety of activities that fully engage their senses. Sensory rooms can calm and relax children or stimulate exploration, learning, and development. This environment also helps individuals with sensory processing disorders, cognitive issues, learning disabilities, autism, and ADHD process the world around them.

Group Therapy, Dining, and Gathering Spaces Our mental health patients spend much of the time outside of their rooms engaging in individual and group therapy sessions, continuing their schoolwork with on-site teachers, and engaging in recreation and creative expression. Several areas on each inpatient floor are dedicated to these activities.

Wall Nooks Recessed nooks built into walls throughout the inpatient space give children a cozy spot to curl up with a good book or enjoy a moment of quiet amid the activity that surrounds them.

Nurses Stations and Team Rooms Secure nurses stations and team rooms are designed as open office spaces with large windows to promote collaboration.

Nurses stations provide a view of all inpatient rooms, and team rooms have a view of the gathering and dining spaces.

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Gathering Space

Dining Area Children’s Pavilion 13

All inpatient rooms in Children’s Pavilion are private and carefully designed for safety and comfort.

Warm wood tones, pops of color, and calming wall graphics are incorporated into patient rooms to nurture young minds.

Patients have control of a color-changing light above their bed.

A self-soothing textured wall element is located beside each patient’s bed for sensory input.

Every room has storage spaces for the patient’s belongings and a built-in desk for play or schoolwork.

Furniture is child-friendly and comfortable.

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Our Inpatient Rooms The 11th, 12th, and 13th floors of Children’s Pavilion host a total of 60 inpatient rooms. The 11th and 12th floors accommodate 24 rooms each, and the 13th floor includes 12 inpatient rooms. Eight of the beds on the 13th floor are for children who have a primary psychiatric condition and a secondary medical condition, like diabetes or an eating disorder, that will require ongoing physical care while the child is receiving mental health care. Four beds are for children who have a primary psychiatric diagnosis along with a neurodevelopmental condition, like autism. With only a handful of facilities in the U.S. offering these services, CHKD is addressing an extraordinary need.

The 10th floor is shelled space that can accommodate another 24 inpatient beds when the need arises to expand our programs.

All rooms include a large window with spectacular views and abundant natural light.

Keeping Patients Safe Every facet of our patient rooms is designed for the unique safety needs of children undergoing acute mental health treatment. Specially designed door handles, hinges, sprinkler heads, weighted venting system, and window blinds behind glass minimize patients’ risk of self-harm. Window glass and drywall are impact-resistant. In addition, all movable furniture is filled with sand to make it ultra-heavy and resistant to being lifted.

Beside the door to every room is a sidelight window that allows for unobstructed views into the room and serves as an auxiliary door that opens outward should staff need to gain entry by alternate means. Each private restroom has hallway entry and an exterior signal light that allows staff to see when the space is in use. Special safety features of bathrooms include ligature-resistant fixtures such as a breakaway shower curtain, rubberized towel hooks, and shatterproof mirrors, plus waterproofing in the walls and whole-room water shutoffs in case of flooding.

Private Restroom

Children’s Pavilion 15

Celebration by Paul Villinski

Walking Through Thoughts by Abigail Elliott, Governor’s School student

One Bright Pearl by Lindy Lee

New Day by Ann Gardner

Sunflowers by Richard Stravitz

Jewelz by Leo Tecosky

Untitled 32 by Sam Gilliam

Crystal Garden by Alex Bernstein

Cercles by Manuel Mérida

Art that Elevates the Human Spirit From the artistry of the building’s architecture to the beautiful works of art created especially for the facility, Children’s Pavilion is designed to bring comfort, inspiration, and healing to all who enter through its doors.

Art enhances and humanizes the hospital experience for patients, families, and staff. Growing evidence shows that infusing the arts into places of healing can improve both body and spirit. The arts can be particularly important in

mental health treatment by healing emotional injuries, helping patients understand themselves and others, and developing capacity for self-reflection that can lead to changing behaviors and thinking patterns.

The art here not only elevates the human spirit but the mission of mental health treatment. It brings a sense of joy and extends the idea of healing beyond these walls to the community that rallied to build it.

To learn more about these and other works of art found throughout Children’s Pavilion, and the artists who created them, scan the QR code or visit CHKD.org/Art.

Children’s Pavilion 17

Massachusetts artist Joe Wardwell created this mural in the parking garage entrance foyer of Children’s Pavilion by layering an iconic image of the Virginia Beach oceanfront with CHKD’s mission statement to provide Health, Healing, and Hope for All Children.

Our Community Lights the Way To support the creation of Children’s Pavilion and the expansion of mental health programming, CHKD launched the Lighting the Way Campaign for mental health. From the family of employees who make up Team CHKD, to the generous philanthropists who made children’s mental health a priority, our community responded with unprecedented generosity and compassion. The progress of our mental health initiative is due to their efforts, dedication, and perseverance.

Children’s Pavilion 19

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Dedicating Children’s Pavilion September 30, 2022 On this day, CHKD marked a significant milestone in its mission to bring Health, Healing, and Hope to All Children at a dedication ceremony to mark the opening of inpatient mental health services at Children’s Pavilion. State and local officials, CHKD executives, and board members spoke to a packed house in the Pavilion lobby.

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Dedicating Children’s Pavilion (from left): 1. John Littel, secretary of health and human resources for the Commonwealth of Virginia; Amy Sampson, president and CEO of CHKD Health System; and Dr. Carl Petersen, chief of mental health services at CHKD 2. Kamil Čák, vice president, experience of care, at CHKD 3. Delegate Cliff Hayes and Senator Louise Lucas of Virginia’s 18th Senate District 4. Paige Leslie, Autumn Rivera, and Taylor Rivera, CHKD patient family 5. Amy Sampson; John Littel; Dr. Ralph Northam, former governor for the Commonwealth of Virginia; Senator Creigh Deeds of Virginia’s 25th Senate District; Jim Dahling, former president and CEO of CHKD Health System; Akhil Jain, chair of the CHKD Health System board of directors; John Lawson, II, chair of CHKD’s Lighting the Way Campaign; Dr. Carl Petersen; and Mayor Kenny Alexander of the City of Norfolk 6. Pamela Northam, Senator Monty Mason of Virginia’s 1st Senate District, and Siobhan Deeds 7. Mayor Kenny Alexander and Cheryl McLeskey 8. Jason Jones and Cori Buntting, CHKD patient family 9. Nita Jain, Amy Sampson, Akhil Jain, and Raj Jain.

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Campaign Goal Achieved: Recognizing $75 Million Raised December 13, 2023 CHKD held a special celebration for board members and Lighting the Way Cabinet members in the lobby of Children’s Pavilion to celebrate reaching their $75 million goal for CHKD’s Lighting the Way Campaign for mental health.

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Recognizing $75 Million Raised (from left): 1. Akhil Jain, chair of CHKD Health System board of directors; Amy Sampson, president and CEO of CHKD Health System; and Lawrence Bernert, chair of Children’s Health Foundation board of directors 2. Kelly and Matthew Nusbaum 3. Edward “Buzz” Heidt, Jr., and John Lawson, II, chair of CHKD’s Lighting the Way Campaign 4. William Granger, Gray Kiger, Jr., Diane Kiger, and Leslie Doyle 5. Amy Sampson 6. Nicole Legum, president of The King’s Daughters board of directors, Elly Bradshaw Smith, and Kieran Poulos 7. Doug Hillebrandt, Kathy Abshire, and Maria Hillebrandt 8. David Benjack, Claire Benjack, and Miles Leon 9. John Lawson, II, Amy Sampson, Susan Wynne, and John O. Wynne, Jr.

Children’s Pavilion 21

Generous Donors Support Mental Health When CHKD launched the Lighting the Way fundraising campaign to support Children’s Pavilion and the expansion of mental health programming, our community responded with generosity and compassion. Although the need is great and we continue to raise funds for this important initiative, we honor the following philanthropists who led the way.

$5,000,000+

Kenneth A. and Patricia A. Hall Charitable Foundation The Landmark Foundation Mid Atlantic Dairy Queen

$1,000,000-$4,999,999

Anonymous Kay Abiouness Bank of America Children’s Specialty Group The City of Norfolk Commonwealth of Virginia Ferguson The Goode Family Foundation The Family of Conrad M. Hall Hampton Roads Community Foundation The King’s Daughters Langley Federal Credit Union and Langley for Families Foundation Paige and John Lawson Norfolk Southern Corporation Oh Family and Obermeyer Family Panda Express Associates and Guests Jim Squires and Karen Jones Squires TowneBank Foundation U.S. Department of Health and Human Services W.M. Jordan Company Terry and Brad Waitzer Leah and Richard Waitzer Foundation Katherine and John Wynne Susan and Dubby* Wynne

$500,000-$999,999

Atlantic Bay Mortgage Group Beazley Foundation The Benjack Family Foundation The Cabell Foundation Chartway Promise Foundation Children’s Health Network Ryan M. Coyle, MD The George and Grace Dragas Family Foundation James A. Hixon and Family Howard Hanna Children’s Free Care Fund Stephanie and Joe McSweeney The Estate of Gary Tignor

$250,000-$499,999

Charles, Susan, and Lexie Barker Katherine and Mark Batzel Birdsong Peanuts Lilly and Bruce Bradley The Compton Family Foundation The Cooke Fund Michael and Claudia Cuddyer Dominion Energy Joyce and John Fain The Fine Family & Runnymede Corporation Shari Friedman and Renee and John Strelitz The Heidt Family Foundation The Hoover Family The Sucheta Jain Family Fund Ted Kaufman

The Leon Family The Mary Morton Parsons Foundation Shaune and Richard Meredith MileOneCares and Hall Automotive Bonnie and Wick Moorman New York Life Norfolk Tug Company Parsons Fund at Hampton Roads Community Foundation Priority Automotive Charities Diane and Rodney Sawyer Manan and Payal Shah Family Foundation

$100,000-$249,999 Anonymous (3) A.D. Stowe, Inc. Aetna Better Health of Virginia Helen and Warren Aleck Atlantic Coast Mortgage, LLC Chad and Caroline Ballard Charles* and Mari Ann Banks Carolyn and Richard Barry The Benjamin Goldberg Foundation The Bernert Family Mrs. Joan P. Brock Rick and Tammy Burnell Capital Group The CHAS Foundation George B. Clarke IV Angela and Daniel J. Clarkson Todd and Robin Copeland Family Stacy and Aimee Cummings and Family

This list includes gifts made through April 30, 2024.

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Mary and Jim Dahling Katie and Jake Denton Kelly and Tim Faulkner John and Rachael Feigenbaum and Family Christopher Foley, MD and Susan Kim-Foley, MD Franklin Family Foundation Alicia and Robert Friedman The Family of John and Mariska Gibson Gold Key | PHR Hampton Roads Maritime Community Hansen Family Foundation Kristi and Robert Jones Kaufman and Canoles, P.C. David Kaufman and Family Linda H. and George M.* Kaufman Drs. Cynthia and Robert Kelly The Klimkiewicz Family Tina and Pete Kotarides Marc and Audrey Leishman The Harvey Lindsay Family Audra M. Bullock and T. Richard Litton, Jr. Linda Lowrance Frances Luter Magarity Family Trust John and Harriet Malbon Cheryl P. McLeskey Arnold and Oriana McKinnon Family The Mermaid Circle of the VBCU Mr. and Mrs. W. Sheppard Miller III Liz Moore Charitable Foundation Marietta McNeill and Samuel Tate Morgan, Jr. Trust

Mindy and Kevin Murphy The Neikirk Family Newport News Shipbuilding The Alan and Ann Nusbaum Family Anne Mullen Orrell Charitable Trust OVM Financial The Pace Family PF&A Design Architects PRA Group, Inc. The Pruden Foundation Reba’s Animal Rescue The Timothy and Lisa Robertson Foundation Tom and Meghan Robinson Pru and Louis Ryan Amy Sampson and Jeff George The Schick Family Sentara Health Lynne and Bill Shepherd Thelma and Maurice Steingold Family STIHL Incorporated Jill and Dan Sykes Tidewater Children’s Foundation Bill and Katie Van Buren Mr. and Mrs. Edwin S. Waitzer Walker & Laberge Company Michelle and Mark Warden Dr. and Mrs. William B. Warden Ware River Circle of The King’s Daughters and Sons Preston and Catharine White Foundation Frederick and Karen Whyte Family Foundation Ashlin and Wayne Wilbanks Rolf and Beth Williams Kenneth Young

$25,000-$99,999

Anonymous (2) Janice J. Aleck Amazin’ Mets Foundation The Amorosso Family Atlantic Dominion Distributors Baldwin Advisory, LLC Nancy Bangel and Family Bayshore Circle of the VBCU Begin Again Foundation Jeff and Gaye Benson Bruce and Sarah Bishop Sandy and Richard Burroughs Catherine and Rick Callahan Capital Concrete, Inc. The Chairman’s Cup – Virginia Business Leaders Philanthropy Group Child’s Play Charity The Christian Broadcasting Network Circle of Birdneck Point of the VBCU Jeff Chernitzer and Billye Phillips Roy Katherine Cohee Taylor and Mignon Cohee Reynolds Community Leadership Partners of the Hampton Roads Community Foundation The Cooper Family William A. and Merle K. Copeland Richard* and Lana* Couch Anne and Cecil Cutchins DACS, Inc.

Thomas W. Dana Family Mark and Kimberly Day and Family Lindsay and Rad Davenport Dollar Tree & Family Dollar Dolphin Circle of the VBCU Emprise Corporation Franklin Southampton Charities Dr. Thomas Q. Gallagher and Family Garden Club of Norfolk Dawn and Tim Glynn The Martha and Rob Goodman Family Drs. C.W. and Marilyn Gowen Louis and Mary Haddad Foundation Les and Wanda Hall Hoddy W. Hanna III Susan and John Harding Drs. Chifumi and John Harrington Susan and Paul Hirschbiel Hoffman Beverage Company INNOVATE Architecture & Interiors J. L. Camp Foundation Dave Jester and Heidi Laderberg David and Iris Julian Kathy and Jerry Kantor The Kastner Family Connie and Ed Kellam Mr. and Mrs. F. Gray Kiger Jr. Jill and Jesse King and Family Ann Kirk-Mendes The Kletz Family KOVAR KPMG Bill and Nancy Layng Dee and Harry Lester Mr. and Mrs. Lemuel E. Lewis Barbara and Donald Lipskis The Lonning Family Marine Hydraulics International, LLC Suzanne and Vince Mastracco The McClellan Family Steven and Jeanne McSweeney Mr. and Mrs. Peter M. Meredith Jr. Metal Tech of Murfreesboro The Napolitano Family Meredith and Robert Nicholson Sharon and Rick Nuckols Mr. and Mrs. John Pezzella PNC Foundation Joshua and Karen Priest The Przymuzala Family and Coastal Management Solutions, Inc. Ann Burke Ripley Rite Aid Healthy Futures Priscilla Trinder-Roady and Sam Roady Dr. Alfred “Buzzy” Schulwolf* Brenda and Paul Sharp Slone Family Elly and Tom* Smith The Sokol Family Foundation Southern Virginia Ford Dealers SPAR Group St. Michael Lutheran Church The Richard Stravitz Foundation The Suffolk Foundation The Tanner, Wagner, and Troyer Families Taylor’s Do it Center Bob and Marion Taylor The Thistle Foundation Fund of the HRCF

Elizabeth and John Trinder VBRelief The Violet H. Greco Foundation Virginia Equipment & Development, Inc. W.F. Magann Corporation Brenda and David Wallestad The Warfield Foundation The Wawa Foundation Mr. and Mrs. William C. White T. Lynn Williams F. Blair and Jane S. Wimbush Mrs. Charity Volman-Winn and Mr. Barclay C. Winn Sr. Steven and Lynne Winter The Wittersheim Family Yarbrough Family Foundation Jarrett Zoby*

$10,000-$24,999

Anonymous (7) ABNB Community Foundation Mr. and Mrs. Scott and Kathy Abshire Susie and Bucky Archer Buffy and Jason Barefoot Deborah Barnes Elizabeth and Ted Baroody Ron and Julie Childress Beck Jessica and Jim Bedois Bruce and Joan Berlin Mr. and Mrs. McLemore Birdsong III Todd and Jenni Bivins Kelly and Dan Boyle Lynda and Jim Briggs Michael and Cathy Burnette Sandy and Ellie Campbell Scott, Heather, Hope, Miller, and Hattie Carr The Family of Sam Carver Cerner Charitable Foundation Chaing | Anders Chesapeake Bay Circle of The King’s Daughters and Sons Chesapeake Bay Wine Classic Foundation Lee Cockrill Dr. and Mrs. Lawrence B. Colen Colonial Circle of the VBCU Colonna’s Shipyard, Inc. Community Foundation for a greater Richmond Compass Insurance Solutions Mr. and Mrs. George Compo The Cottrell Family Cox Charities Mr. and Mrs. David Culpepper Leigh and Jason Davis The Dilustro Family Pace and Charlie Edwards The Fletcher and Creech Family Virginia and Robert Fogg Beth and Paul Fraim The Friddell Family General Dynamics NASSCO-Norfolk The Gerloff Family Karen S. Gershman Mr. and Mrs. Serban Ghenea

Dr. and Mrs. Robert Given Mary Margaret Gleason, MD Cindy and Chris Gooch Owen and Kimberly Griffin Price and Cosby Hall Anne-Randolph Bolling Harrell Virginia and John Hitch Wendy Howlett-Holley and Michael Holley Lynn and Chip Hornsby Trey, Jenny, and Alexis Huelsberg JPMorgan Chase Foundation Roy Jay Ed and Betty Karotkin Luther Kiger* Ashley and Ryan King Jodi and Jay Klebanoff Bobby Lawrence Katrina Lesher, MD Penny Barlow Lewis Lynnhaven River Circle of the VBCU Ellen and Mark Manion The McCasland-Blackwelder Family Mr. and Mrs. T. Braxton McKee Mr. and Mrs. Andy McSweeney Mrs. Hunter Compo and Mr. Richard P. Meredith Jr. Karen Mitchell and Douglas Mitchell, MD Moore Joyner Holland Family Catherine and Paul Morlock MyActiveChild.com LLC Mr. Thomas H. Nicholson III Norfolk Propeller Club Mrs. Susanna and Dr. Carl Petersen Mr. and Mrs. John H. Peterson Jr. Thomas E. Pinelli The Poteran Family Cameron and Billy Poynter Sandi and Burt Prestridge Q.E.D. Systems, Inc. The River Ellis Foundation Jack and Tammy Ross Molly and Tommy Rueger Eddie and Cindy Russell Dennis and Josephine Ryan Ellen and Wood Selig The Silva Family Mr. and Mrs. Chip Simkins Candi and Brian Skinner and Family Smile by Design Dr. and Mrs. Carl St. Remy Edward M. Swersky Tecnico Corporation Think Bigger Mastermind Group Drs. Julie and Ken Tiffany Larissa and Ken Trinder Truist Foundation Virginia Beach Billfish Foundation The Virginia Beach Garden Club The Virginia Fall Classic Jim and Deb Vollmer Walmart and Sam’s Club The Warburton Family Alicelynne Watson Lee Westnedge and Christina Westnedge Whiting-Turner Contracting Company Widget and Armistead Williams Williams Mullen Williamsburg Health Foundation Woods Rogers Vandeventer Black Foundation Carrie and John Yuill

* Deceased

Children’s Pavilion 23

A History of Meeting the Greatest Needs 1896

The King’s Daughters, a women’s service organization dedicated to improving the lives of children in our community, hires nurse Edith Nason to help care for the sick in Norfolk’s poorest neighborhoods. Those who could not pay for her services received them for free, establishing the charitable mission that still guides us today.

1984

Children’s Health System is established with The King’s Daughters as its Class A members, creating Virginia’s only pediatric healthcare system. By now, inpatient admissions are double what they were when the hospital opened.

1985

The hospital establishes the region’s first exclusively pediatric surgery program with the addition of eight operating rooms.

1901

The King’s Daughters’ first clinic opens at 304 Charlotte St.

1916

After working out of several different locations in Norfolk, the group purchases a residence at 300 W. York St. for their headquarters, which they named The King’s Daughters Children’s Clinic.

1954-1961

In 1954, The King’s Daughters, now an even bigger and more powerful organization, announces plans to build a full-service children’s hospital. The group raises almost $1 million and breaks ground in 1959. The 88-bed hospital is dedicated on April 23, 1961.

1979

With the addition of two floors, the five-story hospital houses a full-service lab, dietary services, diagnostic clinics, a neonatal ICU, and a pediatric ICU.

1994

A major expansion and renovation triples the size of CHKD. This facility provides the region’s only pediatric emergency center, expands outpatient services, and houses 166 inpatient beds.

1996

CHKD expands its care when five primary care pediatric practices join Children’s Health System, marking the beginning of CHKD Medical Group. The following year, Children’s Surgical Specialty Group is established – the region’s only multidisciplinary pediatric surgery practice.

1999

CHKD opens the first and only pediatric inpatient rehabilitation unit in Virginia.

1901

1896

1994

1954-1961

200

04

2000

2018

2004

2019

CHKD opens its first multiservice, community-based CHKD Health Center in the Greenbrier area of Chesapeake, bringing services closer to families. Today, CHKD operates 14 community-based health centers.

CHKD opens the region’s first pediatric outpatient surgery center exclusively for children on the Peninsula in our Health and Surgery Center at Oyster Point. In 2008, a second outpatient health and surgery center opens in Virginia Beach.

2011

After its 1994 expansion, CHKD gradually increases its number of licensed beds to meet demand. In 2011, the hospital became licensed for 206 beds, our current number for the main hospital.

2015

CHKD opens the region’s first urgent care center just for kids on Volvo Parkway in Chesapeake. Today, with two additional locations open, more than 80,000 visits are made each year to CHKD urgent care centers in Chesapeake, Virginia Beach, and Newport News.

2015

CHKD’s board of directors votes to expand the hospital’s mission by recommending the establishment of inpatient psychiatric services at CHKD. In July of 2018, CHKD receives state approval to build a 60-bed pediatric mental health hospital to help meet the critical shortage of services.

On September 17, 2019, Gov. Ralph Northam joins state and local legislators, community leaders, and CHKD officials at a groundbreaking ceremony to launch construction of CHKD’s $224 million mental health hospital – a facility expected to transform mental health care for children across the state and the nation.

2020

A “topping off” ceremony on August 11, 2020, marks the symbolic completion of the structural phase of Children’s Pavilion as the highest beam is placed on the 60-bed, 14-story mental health hospital and outpatient center.

2022

Children’s Pavilion opens in April to outpatient services including primary care at General Academic Pediatrics, a sports medicine clinic, lab and radiology services, and outpatient mental health therapy. October marked the launch of inpatient mental health care with the opening of the first beds in CHKD’s new facility.

2020

2019

2022 Children’s Pavilion 25

601 Children’s Lane • Norfolk, VA 23507

NON-PROFIT ORG US POSTAGE PAID CHKD

Collaborative artwork by patients in CHKD’s Children’s Pavilion.

An Escalating Need The mental health needs of our children continue to grow at an unprecedented rate.

The programs that CHKD provides at Children’s Pavilion, and throughout our community, are just beginning to meet this demand. We must do more, but we need your help.

The compassion and generosity of our community allowed us to create the beautiful and therapeutic space at Children’s Pavilion that serves as home to CHKD’s mental health initiative. Now, our programs, services, and staffing must continue to expand to ensure we are able to help the growing number of children in crisis.

Please consider supporting this effort by making a gift to CHKD. Scan the QR code to visit CHKD.org/LightingTheWay, or call us at (757) 668-7070.

A gift envelope is also included in this publication for your convenience.